Individual
MS. EBONY J BECKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
428 E 25TH ST, BALTIMORE, MD 21218-5304
(410) 617-0142
(443) 563-2143
Mailing address
6509 COPPER RIDGE DR APT 201, BALTIMORE, MD 21209-2285
(443) 202-7244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R211296
MD
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
R211296
MD
163WC0400X
Case Management Registered Nurse
R211296
MD
163WC1500X
Community Health Registered Nurse
R211296
MD
163WH0200X
Home Health Registered Nurse
R211296
MD
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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